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Evidence-based medicine (EBM) for insurance physicians.


- candidate number5630
- NTR NumberNTR1767
- ISRCTNISRCTN wordt niet meer aangevraagd
- Date ISRCTN created
- date ISRCTN requested
- Date Registered NTR20-apr-2009
- Secondary IDsN/A 
- Public TitleEvidence-based medicine (EBM) for insurance physicians.
- Scientific TitleEvidence-based medicine (EBM) for insurance physicians, innovation and implementation in practice.
- ACRONYMEBM-plus
- hypothesisEBM for insurance physicians will lead to better use of evidence in work disability assessments, and more quality of te medical disability advice compared to a control group.
- Healt Condition(s) or Problem(s) studied
- Inclusion criteriaInsurance physicians doing medical disability assessments.
- Exclusion criteriaN/A
- mec approval receivedno
- multicenter trialno
- randomisedyes
- masking/blindingSingle
- controlActive
- groupParallel
- Type2 or more arms, randomized
- Studytypeintervention
- planned startdate 1-mei-2009
- planned closingdate30-jun-2010
- Target number of participants132
- InterventionsFive and half day of didactic EBM Course with case-method learning sessions of 10-12 peers. Control group: no intervention during study period.
- Primary outcome1. The quality of the medical disability advice;
2. Use of evidence in clinical practice.
- Secondary outcome1. Knowledge and skills in EBM;
2. Attitude towards EBM;
3. Attitude towards own profession;
4. Professional performance of insurance physicians.
- Timepoints1. Before the EBM intervention (baseline);
2. After day 3 of the course (2 months);
3. At the end of the EBM course (6 months);
4. 6 months after the end of the course (12 months).
- Trial web siteN/A
- statusopen: patient inclusion
- CONTACT FOR PUBLIC QUERIESMSc., MD. R. Kok
- CONTACT for SCIENTIFIC QUERIESMSc., MD. R. Kok
- Sponsor/Initiator Research Center for Insurance Medicine, Coronel Institute for Occupational and Environmental Health
- Funding
(Source(s) of Monetary or Material Support)
Coronel Institute for Occupational and Environmental Health
- PublicationsN/A
- Brief summaryTo study the effectiveness of an Evidence-Based Medicine (EBM) implementation programme to increase knowledge and skills, and EBM behaviour in a non-clinical setting (insurance physicians), a cluster-randomized clinical trial is conducted. A course in EBM for five and a half day, with in between practical case method solving, will be given to the intervention group (N=100). The control group (N=100) will receive care as usual. The main outcome measures will be the EBM behavior: use of evidence in factual reports in disability evaluations and the quality of the disability advise to a clinical vignette. Secondary outcomes will be knowledge, skills and attitude.
- Main changes (audit trail)
- RECORD20-apr-2009 - 23-sep-2009


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